College Club Interest Form

Participant Name *

First

Last

Your Email *

Phone Number

Age *

Current School Year *

Must be in 10th, 11th, or 12th grade.

What city and state do you reside in? *

Parent or Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

What schools are you interested in enrolling in? *

Name 2-5 schools.

Where are you in the process? *

What are you interested in studying and why? *

There are no wrong answers. You might even be undecided or have more than 1 answer. It's fine to share that as well. This will help us know what resources we can help provide.

Sign up to join the wait list for College Club